Juniper Publishers Journal of Cardiology and Cardiovascular Therapy

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Introduction Subclavian artery pseudoaneurysm is an uncommon clinical entity with only a few cases reported in the literature. Most cases are related to injuries of the subclavian artery during insertion of central venous catheter. In some of these cases, the injury is secondary to blunt trauma. We report an interesting case of iatrogenic right subclavian artery pseudoaneursym secondary to a complicated central vein dialysis catheter insertion, which was successfully treated with endovascular stenting and resulted in clinical improvement. Case Report A 60-year-old gentleman with a background history of accelerated hypertension and chronic kidney disease developed worsening renal function secondary to Enterococcus septicemia, following an admission for Steven-Johnson syndrome. The oliguric renal failure did not respond to fluid challenge and eve...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract We report a case of 50-year-old man who presented with acute compartment syndrome of the left lower limb after abdominal aortic aneurysm repair. He had past history of vasospastic angina which was diagnosed by acetylcholine provocation test 7 years before the operation. He had several episodes of lower leg pain, which sustained around 15-30 minutes during rest. Scheduled Y graft replacement was performed with total operative time of 245 minutes and total ischemic time of 111 minutes. He complained of severe pain of his left lower limb just after the operation. Laboratory data showed increased transaminase (aspartate transaminase 363mg/dl, alanine transaminase 99mg/dl) and creatine kinase (36273mg/dl). Contrast computed tomography (CT) demonstrated normal vasculature of the anterior tibial, posterior tibial and peronial arteries, however, significant swelling of the soleus mus...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Introduction Fibromuscular dysplasia (FMD) is a condition predominantly affecting the renal and cervicocranial arteries. Isolated involvement of the iliac arteries is a rare manifestation of this disease. We describe a case of incidentally detected left external iliac artery fibromuscular dysplasia in a 53 year old female. Case Report A 53 year old female was referred for computed tomography (CT) angiogram of the abdomen and pelvis to evaluate the deep inferior epigastric artery perforators prior to breast reconstruction surgery. (Figure 1A & 1B). The CT angiogram revealed a beaded appearance of the left external iliac artery. There was no significant stenosis or aneurysm of the artery. The remaining major arteries of the abdomen showed normal appearance. A diagnosis of isolated left external iliac artery fibromuscular dysplasia was made. As the patient was...